Term
| There is an increase in the incidence of CP in recent years. Why? |
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Definition
| Decreased perinatal mortality, surfactant therapy, oscilating ventilators that don't blow out alveoli. |
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Term
| what are the risk factors for premature birthing?(9) |
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Definition
| 1. Young mothers, 2. substance abuse 3. amniotic infection 4. uterine abnormalities 5. multiple births 6. chronic maternal illness 7. placenta previa 8. placenta abrupto 9. genetic abnormalities. |
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Term
| Why are multiple births a risk factor for prematurity? |
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Definition
| it's hard to maintain pregnancy with more than one baby in utero. |
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Term
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Definition
| Usually the placenta is above the child. But with this condition the placent is below, so as the baby grows it crushes the placenta and causes necrosis. This requires immediate C-section. |
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Term
| What is placenta abrupto? |
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Definition
| A genetic weakness in the placenta. |
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Term
| What are some examples of genetic abnormalities that may lead to premature birth? (she gave us 2) |
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Definition
| Anecephaly, Schizencephaly. |
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Term
| What are some complications of prematurity? (5) |
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Definition
| Bronco-pulmonary dysplasia, Retinopathy, GERD, Intraventricular hemorrhage, Periventricular Leukomalacia. |
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Term
| What are the characteristics of bronco-pulmonary dysplasia? (6) |
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Definition
| 1. Lungs appear emphysatic 2. Feeding problems 3. Poor suck-swallow-breathe triad 4. high calorie demand - growth failure 5. hypoxia & diffuse gray matter damage, 6. GERD. |
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Term
| What is retinopathy of prematurity? |
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Definition
| Irregular blood vessel growth due to hypoperfusion results in poor collateral vascularization. Retina can tear, cause a hemorrhage and lead to scarring and detachment of the retina. |
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Term
| What is the treatment for retinopathy of prematurity? |
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Definition
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Term
| What are the characteristics of GERD? (5) |
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Definition
| Emesis with growth failure, esophagitis, respiratory sx of apnea, irritability and sleeplessness. |
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Term
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Definition
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Term
| What is Nissen Fundoplication? What's the complication of it? |
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Definition
| The top of the stomach is wrapped around the stomach opening to create a sphincter so they can't reguritate into the esophagus. Problem: The child can't throw up, EVER. |
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Term
| What is periventricular leukomalacia? what causes it? What does it result in? |
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Definition
| Non-hemorrhagic necrosis of periventricular white matter. It's often caused by maternal infection. It results in fetal hypotension and vasoconstriction, and involves the corticospinal tract. |
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